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The Varicocele Dilemma. (PDF, 139 KB) Human Reproduction, 2001. The FAST study: fertility assessment and advice targeting lifestyle choices and behaviours: a pilot study. Unexplained Even after a full fertility work-up, for one in five couples an exact cause of infertility cannot be determined.

Small or firm testicles could indicate potential issues that should be explored by a medical practitioner. Gracia CR, Sammel MD, Coutifaris C, Guzick DS, Barnhart KT. Between 45 and 50 percent of cases are thought to stem from factors that affect the man. Antibodies that attack sperm Anti-sperm antibodies are immune system cells that mistakenly identify sperm as harmful invaders and attempt to eliminate them. Furthermore, an immunological cause in the cervical mucus is possible.

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Women trying to conceive often have depression rates similar to women who have heart disease or cancer.[18] Emotional stress and marital difficulties are greater in couples where the infertility lies with the man.[19] Older people with adult children appear to live longer.[20] Why this is the case is unclear and may dependent in part on those who have children adopting a healthier lifestyle, support from children, or the circumstances that led to not having children.[20] [edit] In many cultures, inability to conceive bears a stigma. Cystic Fibrosis and Infertility Caused by Congenital Bilateral Absence of the Vas Deferens and Related Clinical Entities. (PDF, 2 MB) Human Reproduction, 1996.

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After interviewing the couple together, the man and woman should be interviewed separately to obtain confidential information. Diagnosis Most people will visit a physician if there is no pregnancy after 12 months of trying. It delivers a constant supply of Gn-RH to the pituitary gland, which alters the production of hormone, allowing the doctor to induce follicle growth with FSH. Your doctor may ask you many of the following questions: How long have you been trying to get pregnant? The fluid comes from the prostate gland, the seminal vesicle, and other sex glands.

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The opening improves the ability of the embryo to implant into the uterine lining. Several studies have demonstrated that an increase in BMI is correlated with a decrease in sperm concentration, a decrease in motility and an increase DNA damage in sperm. Ideally, the test should be performed at least twice to confirm results. Understanding the normal reproductive process is essential in knowing when to seek help. Thankfully, even when the cause of infertility is not known, various fertility treatments can eventually lead to delivery of a healthy baby. Other conditions Various other lesions and diseases, such as CNS tumors, temporal lobe seizures, and many drugs (eg, dopamine antagonists) may interrupt the hypothalamic-pituitary axis at the hypothalamus. Medical conditions Some medical conditions can affect fertility. Some diseases: Conditions that are sometimes linked to lower fertility in males are anemia, Cushing's syndrome, diabetes, and thyroid disease. Factors effecting normal expectancy of conception. It's often caused by a sexually transmitted infection (STI). Effect of male age on fertility: evidence for the decline in male fertility with increasing age. The chromosomal pattern of the resultant embryos can be assessed with preimplantation genetic diagnosis.